Geriatric Resource Teams: Equipping Primary Care Practices to Meet the Complex Care Needs of Older Adults
被引:9
|
作者:
Buhr, Gwendolen
论文数: 0引用数: 0
h-index: 0
机构:
Duke Ctr Study Aging & Human Dev, Durham, NC 27710 USADuke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
Buhr, Gwendolen
[1
]
Dixon, Carrissa
论文数: 0引用数: 0
h-index: 0
机构:
Duke Off Clin Res, Durham, NC 27710 USADuke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
Dixon, Carrissa
[2
]
Dillard, Jan
论文数: 0引用数: 0
h-index: 0
机构:
Duke Outpatient Clin, Durham, NC 27704 USA
Duke Univ, Med Ctr, Dept Case Management & Clin Social Work, Durham, NC 27710 USADuke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
Dillard, Jan
[3
,4
]
论文数: 引用数:
h-index:
机构:
Nickolopoulos, Elissa
[3
,4
]
Bowlby, Lynn
论文数: 0引用数: 0
h-index: 0
机构:
Duke Outpatient Clin, Durham, NC 27704 USADuke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
Bowlby, Lynn
[3
]
Canupp, Holly
论文数: 0引用数: 0
h-index: 0
机构:
Duke Outpatient Clin, Durham, NC 27704 USA
Duke Univ, Med Ctr, Dept Pharm, Durham, NC 27710 USADuke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
Canupp, Holly
[3
,5
]
Matters, Loretta
论文数: 0引用数: 0
h-index: 0
机构:
Duke Univ, Sch Nursing, Durham, NC 27710 USADuke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
Matters, Loretta
[6
]
Konrad, Thomas
论文数: 0引用数: 0
h-index: 0
机构:
Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27516 USADuke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
Konrad, Thomas
[7
]
Previll, Laura
论文数: 0引用数: 0
h-index: 0
机构:
Duke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
Durham VA Geriatr Res Educ & Clin Ctr, Durham, NC 27705 USADuke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
Previll, Laura
[1
,8
]
Heflin, Mitchell
论文数: 0引用数: 0
h-index: 0
机构:
Duke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
Durham VA Geriatr Res Educ & Clin Ctr, Durham, NC 27705 USADuke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
Heflin, Mitchell
[1
,8
]
McConnell, Eleanor
论文数: 0引用数: 0
h-index: 0
机构:
Duke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
Duke Univ, Sch Nursing, Durham, NC 27710 USA
Durham VA Geriatr Res Educ & Clin Ctr, Durham, NC 27705 USADuke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
McConnell, Eleanor
[1
,6
,8
]
机构:
[1] Duke Ctr Study Aging & Human Dev, Durham, NC 27710 USA
[2] Duke Off Clin Res, Durham, NC 27710 USA
[3] Duke Outpatient Clin, Durham, NC 27704 USA
[4] Duke Univ, Med Ctr, Dept Case Management & Clin Social Work, Durham, NC 27710 USA
[5] Duke Univ, Med Ctr, Dept Pharm, Durham, NC 27710 USA
[6] Duke Univ, Sch Nursing, Durham, NC 27710 USA
[7] Univ N Carolina, Cecil G Sheps Ctr Hlth Serv Res, Chapel Hill, NC 27516 USA
[8] Durham VA Geriatr Res Educ & Clin Ctr, Durham, NC 27705 USA
Primary care practices lack the time, expertise, and resources to perform traditional comprehensive geriatric assessment. In particular, they need methods to improve their capacity to identify and care for older adults with complex care needs, such as cognitive impairment. As the US population ages, discovering strategies to address these complex care needs within primary care are urgently needed. This article describes the development of an innovative, team-based model to improve the diagnosis and care of older adults with cognitive impairment in primary care practices. This model was developed through a mentoring process from a team with expertise in geriatrics and quality improvement. Refinement of the existing assessment process performed during routine care allowed patients with cognitive impairment to be identified. The practice team then used a collaborative workflow to connect patients with appropriate community resources. Utilization of these processes led to reduced referrals to the geriatrics specialty clinic, fewer patients presenting in a crisis to the social worker, and greater collaboration and self-efficacy for care of those with cognitive impairment within the practice. Although the model was initially developed to address cognitive impairment, the impact has been applied more broadly to improve the care of older adults with multimorbidity.
机构:
Univ Calif San Francisco, Dept Med, Div Geriatr, 490 Illinois St,8th Floor,UCSF Box 1265, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Med, Div Geriatr, 490 Illinois St,8th Floor,UCSF Box 1265, San Francisco, CA 94143 USA
Santoyo-Olsson, Jasmine
Li, Lingsheng
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Med, Div Geriatr, 490 Illinois St,8th Floor,UCSF Box 1265, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Med, Div Geriatr, 490 Illinois St,8th Floor,UCSF Box 1265, San Francisco, CA 94143 USA
Li, Lingsheng
Harrison, Krista L.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, Dept Med, Div Geriatr, 490 Illinois St,8th Floor,UCSF Box 1265, San Francisco, CA 94143 USA
Univ Calif San Francisco, Philip R Lee Inst Hlth Policy Studies, San Francisco, CA USAUniv Calif San Francisco, Dept Med, Div Geriatr, 490 Illinois St,8th Floor,UCSF Box 1265, San Francisco, CA 94143 USA
机构:
RE FIT Barcelona Res Grp, Parc Sanitari Pere Virgili, Barcelona, Spain
Vall dHebron Inst Res VHIR, Barcelona, Spain
Univ Autonoma Barcelona, Dept Med, Barcelona, Spain
QIDA, Barcelona, SpainRE FIT Barcelona Res Grp, Parc Sanitari Pere Virgili, Barcelona, Spain
Villa-Garcia, Lorena
Puig, Ariadna
论文数: 0引用数: 0
h-index: 0
机构:
QIDA, Barcelona, SpainRE FIT Barcelona Res Grp, Parc Sanitari Pere Virgili, Barcelona, Spain
Puig, Ariadna
Puigpelat, Pau
论文数: 0引用数: 0
h-index: 0
机构:
QIDA, Barcelona, SpainRE FIT Barcelona Res Grp, Parc Sanitari Pere Virgili, Barcelona, Spain
Puigpelat, Pau
Sole-Casals, Montse
论文数: 0引用数: 0
h-index: 0
机构:
QIDA, Barcelona, SpainRE FIT Barcelona Res Grp, Parc Sanitari Pere Virgili, Barcelona, Spain
Sole-Casals, Montse
Fuertes, Oriol
论文数: 0引用数: 0
h-index: 0
机构:
QIDA, Barcelona, SpainRE FIT Barcelona Res Grp, Parc Sanitari Pere Virgili, Barcelona, Spain